Healthcare Provider Details

I. General information

NPI: 1902943152
Provider Name (Legal Business Name): JOANNA WRIGHT REEVES PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2007
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

240 E ALBERT GALLATIN AVE STE B
GALLATIN TN
37066-2051
US

IV. Provider business mailing address

102 INDIAN LAKE RD
HENDERSONVILLE TN
37075-3821
US

V. Phone/Fax

Practice location:
  • Phone: 855-571-4500
  • Fax:
Mailing address:
  • Phone: 855-571-4500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number1308
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: